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HOSPICOM, INC.

Company Details

Name: HOSPICOM, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 04 Jan 2005 (20 years ago) (Companies founded in January 2005)
Entity Number: 3145551
ZIP code: 10516 (Companies in Putnam, 10516)
County: Putnam
Place of Formation: New York
Address: 11 MAIN STREET, COLD SPRING, NY, United States, 10516

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOSPICOM, INC. 401(K) PLAN 2023 202132662 2024-05-31 HOSPICOM, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-05-31
Name of individual signing TARA EVANS, FOR TAG RESOURCES
HOSPICOM, INC. 401(K) PLAN 2022 202132662 2023-08-01 HOSPICOM, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-08-01
Name of individual signing TARA EVANS, FOR TAG RESOURCES
HOSPICOM, INC. 401(K) PLAN 2021 202132662 2022-05-19 HOSPICOM, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-05-19
Name of individual signing TARA EVANS
HOSPICOM, INC. 401(K) PLAN 2020 202132662 2021-09-17 HOSPICOM, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2021-09-17
Name of individual signing PHIL TISUE
HOSPICOM, INC. DEFINED BENEFIT PLAN 2019 202132662 2020-10-14 HOSPICOM, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing JONATHAN ROUIS
HOSPICOM, INC. 401(K) PLAN 2019 202132662 2020-05-18 HOSPICOM, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 15 MAIN ST, COLD SPRING, NY, 105163211

Signature of

Role Plan administrator
Date 2020-05-18
Name of individual signing JONATHAN SCHILLER
Role Employer/plan sponsor
Date 2020-05-18
Name of individual signing JONATHAN SCHILLER
HOSPICOM, INC. DEFINED BENEFIT PLAN 2018 202132662 2019-10-10 HOSPICOM, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing JONATHAN ROUIS
HOSPICOM, INC. 401(K) PLAN 2018 202132662 2019-09-30 HOSPICOM, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 15 MAIN ST, COLD SPRING, NY, 105163211

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing JONATHAN ROUIS
Role Employer/plan sponsor
Date 2019-09-30
Name of individual signing JONATHAN ROUIS
HOSPICOM, INC. DEFINED BENEFIT PLAN 2017 202132662 2018-09-18 HOSPICOM, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 8452652155
Plan sponsor’s address 11 MAIN ST., COLD SPRING, NY, 10516

Signature of

Role Plan administrator
Date 2018-09-18
Name of individual signing JONATHAN ROUIS
HOSPICOM, INC. 401(K) PLAN 2017 202132662 2018-05-14 HOSPICOM, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 561490
Sponsor’s telephone number 8452652155
Plan sponsor’s address 15 MAIN ST, COLD SPRING, NY, 105163211

Signature of

Role Plan administrator
Date 2018-05-14
Name of individual signing JONATHAN SCHILLER
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing JONATHAN SCHILLER

Chief Executive Officer

Name Role Address
JON SCHILLER Chief Executive Officer 11 MAIN STREET, COLD SPRING, NY, United States, 10516

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 11 MAIN STREET, COLD SPRING, NY, United States, 10516

History

Start date End date Type Value
2007-06-19 2009-01-08 Address 15 MAIN STREET, COLD SPRING, NY, 10516, USA (Type of address: Chief Executive Officer)
2007-06-19 2009-01-08 Address 15 MAIN STREET, COLD SPRING, NY, 10516, USA (Type of address: Principal Executive Office)
2005-01-04 2009-01-08 Address 2649 SOUTH ROAD, SUITE 230, POUGHKEEPSIE, NY, 12601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170110006227 2017-01-10 BIENNIAL STATEMENT 2017-01-01
150113007047 2015-01-13 BIENNIAL STATEMENT 2015-01-01
130206002173 2013-02-06 BIENNIAL STATEMENT 2013-01-01
110128003097 2011-01-28 BIENNIAL STATEMENT 2011-01-01
090108002529 2009-01-08 BIENNIAL STATEMENT 2009-01-01
070619002400 2007-06-19 BIENNIAL STATEMENT 2007-01-01
050104000832 2005-01-04 CERTIFICATE OF INCORPORATION 2005-01-04

Date of last update: 10 Nov 2024

Sources: New York Secretary of State